HMO Officer Job at Chion Family Medical Centre

Chion Family Medical Centre is committed to delivering excellent patient-centered healthcare services that meet the health needs of individuals and families within and beyond our community.

We are recruiting to fill the position below:

Job Position: HMO Officer

Job Location: Maryland, Lagos
Employment Type: Full Time

Job Summary

• We are currently seeking an experienced and detail-oriented HMO Officer to join our administrative team.
• The ideal candidate will manage relationships with Health Maintenance Organizations (HMOs) and ensure smooth communication between the hospital, patients, and insurance providers.

Key Responsibilities

• Liaison Role: Serve as the primary contact for HMOs, handling all queries and correspondence related to healthcare plans, pre-authorizations, and claims.
• Claims Management: Oversee the submission, tracking, and approval of medical claims from HMO patients, ensuring accurate and timely processing.
• Record Keeping: Maintain accurate and up-to-date records of all HMO-related transactions and interactions.
• Billing Coordination: Collaborate with the billing department to resolve discrepancies in billing and payments related to HMO patients.
• Benefit Verification: Confirm patient eligibility and benefits with various HMOs before treatments or procedures.
• Compliance: Ensure all transactions and communications with HMOs comply with regulatory requirements and hospital policies.
• Dispute Resolution: Address any discrepancies or issues with claims or coverage between patients and HMOs.
• Relationship Management: Build and maintain strong relationships with HMO providers to ensure excellent service delivery and effective communication.

Qualifications

• Education: Bachelor's degree in healthcare administration, business administration, or a related field.
• Experience: Minimum of 2-3 years of experience in an HMO officer or healthcare administrative role, preferably in a hospital setting.
• Knowledge: Strong understanding of health insurance processes, claims management, and HMO operations.

Skills: 

•  Excellent communication and interpersonal skills.
•  Strong attention to detail and organizational abilities.
•  Ability to multitask and work under pressure in a fast-paced environment.
•  Proficiency in healthcare management software and MS Office.

Benefits

• Comprehensive health and wellness benefits.
• Opportunities for professional growth and development.
• Supportive work environment with a focus on work-life balance.

Method of Application
Interested and qualified candidates should send their Resume and Cover Letter to: admin@chionfamilymedicalcentre.com using "Nursing Application – [Your Name]" as the subject of the mail.

Note: For inquires, send a Whatsapp message to: 08138126720.